Link to Connecticut Technical High School System
Emmett O'Brien Technical High School 141 Prindle Avenue, Ansonia, CT 06401
 
Telephone: (203) 732-1800, FAX (203) 735-6236

Connecticut State Department of Education

 

HEALTH INFORMATION
FROM THE SCHOOL NURSE


Susan Hoffert
School Nurse - Sue Hoffert
Telephone: (203) 732-1800 ext. 830
E-mail: Sue.Hoffert@ct.gov

Forms
(All forms are in Adobe Acrobat format.
Download the FREE Adobe Acrobat Reader.)

SPORTS
Important Information about Sports Physical
Sports Physical Form - Side A

Sports Physical Form - Side B


GENERAL
Health Assessment Form
Immunization Record
Medical Exemption Form
Medicine Authorization Form
Religious Exemption Form